tbuckley/cabot-search huggingface dataset:
Pancreatic lymphoepithelial cyst: the great imitator
Authors: E. Dall'Amico, M. T. Staiano, M. Gesualdo, F. Castellano, A. Mauriello, F. Fimiano, M. Sacco, S. Gaia, C. G. De Angelis
Journal: Endoscopy (2023)

Abstract Text A 70-years-old man was incidentally diagnosed with a cyst of pancreatic tail of 70 x 45 mm by MRI. Endoscopic ultrasound evaluation showed a multilocular, well defined cyst, without communication with pancreatic ducts; at contrast enhanced EUS cystic septa assumed contrast, while few small mural nodules appeared not vascularized. Cystic fluid was acellular and negative for presence of mucins; intracystic CEA was 6473 ng/ml, glucose 3 mg/dl and amylase 144 UI/l. The appearance of a mucinous cystic neoplasm led the patient to a distal splenopancreatectomy, but histological examination revealed a pancreatic lymphoepithelial cyst, a rare benign pancreatic cyst not yet exhaustively characterized [1].
Quality of colonic preparation in patients with a digestive stoma: About 58 cases
Authors: M. bouzelfa, B. H. Sonia, M. Ben Hamida, B. Awatef, S. Bouaziz, E. Hanen, C. Imed
Journal: Endoscopy (2023)

Aims It is sometimes necessary, at the end of an intervention, to set up a protective digestive stoma. Tha aim of our work is to study the quality of colonoscopy in patients with digestive stoma.
Endoscopic management of Mirizzi Syndrome: a case series
Authors: D. Vazquez Gomez, N. Zaragoza Velasco, M. Albuquerque Miranda, E. Pijoan Comas, I. Miguel Salas, N. Torres Monclus, D. C. Bayas Pástor, I. Pascual, L. Verges Aleix, F. González-Huix Lladó
Journal: Endoscopy (2023)

Abstract Text Mirizzi Syndrome (MS) is defined by common duct compression by an impacted stone in the cystic duct or neck of the gallbladdler. These are considered difficult biliary stones (DBS). We present our experience succesfully treating 18 cases of MS either with sequential strategy (ERCP procedures followed by surgery) or ERCP advanced procedures alone (papiloplasty, use of stents or cholangioscopy-assisted intraluminal lithotripsy). ERCP is gold standard for the diagnosis of MS and a high effective tool in its treatment, ensuring biliary descompression, reducing inflammation, adhesions and anatomical changes, surgery associated comorbidities and, in certain cases, achieving the resolution of the condition.
Peptic stenosis: state of the art
Authors: A. El ghmari, L. Asmae, L. Maria, E. M. Amine, L. Nada, E. Y. Mounia, S. A. Ibrahimi, E. A. Mohammed, D. A. Benajah, H. Abid
Journal: Endoscopy (2023)

Aims The aim of this study is to describe the epidemiological, endoscopic and evolutionary aspects of peptic stenosis(PS) in our context.
Successful Case of Vacuum-Stent Treatment for Anastomotic Leakage After Ivor Lewis Esophagectomy
Authors: L. M. Pattynama, R. E. Pouw, W. J. Eshuis
Journal: Endoscopy (2023)

Abstract Text Anastomotic leakage after esophagectomy is associated with severe morbidity. Recently, a vacuum-stent was introduced as novel treatment option, combining the benefits of endoscopic vacuum therapy and an intraluminal stent.
Feasibility and safety of endoscopic hand suturing in various applications
Authors: O. Goto, S. Nakagome, T. Habu, Y. Ishikawa, E. Koizumi, K. Kirita, K. Higuchi, H. Noda, T. Onda, T. Akimoto, J. Omori, N. Akimoto, K. Iwakiri
Journal: Endoscopy (2023)

Aims Endoscopic hand suturing (EHS) has been developed and clinically introduced to firmly appose the intraluminal tissue with a surgical suture and a through-the-scope type flexible needle holder. We retrospectively evaluated the feasibility and safety of EHS in various clinical settings.
Is routine EUS necessary for endoscopic papillectomy: a case series
Authors: A. Papaefthymiou, S. Phillpotts, J. Gertner, K. Basiliya, M. Chapman
Journal: Endoscopy (2023)

Aims Current guidelines (based on low quality data) recommend endoscopic ultrasound (EUS) to stage ampullary polyps for surgical or endoscopic resection [1]. This case series reviewed the outcome of endoscopic papillectomy (EP) without preprocedural EUS assessment in patients without signs of persistent ductal obstruction in laboratory tests and cross-sectional imaging.
Colonoscopy surveillance in Lynch syndrome is burdensome and frequently delayed
Authors: E. van Liere, I. Jacobs, E. Dekker, M. Jacobs, N. De Boer, D. Ramsoekh
Journal: Endoscopy (2023)

Aims Subjects with Lynch syndrome have an increased colorectal cancer risk, hence, biannual colonoscopy surveillance is recommended. We aimed to investigate patients’ perception and preferences regarding surveillance, and to further explore compliance behaviour.
Factors influencing the implementation of the European Society of Gastrointestinal Endoscopy (ESGE) guidelines: a survey on members of the Spanish Society of Gastrointestinal Endoscopy (SEED)
Authors: M. Bustamante-Balén, C. Soutullo-Castiñeiras, C. Satorres, M. García-Campos, N. Alonso-Lázaro, V. Lorenzo-Zúñiga García, P. López-Muñoz, L. Argüello, V. Pons-Beltrán
Journal: Endoscopy (2023)

Aims To describe the barriers to implementation of the ESGE guidelines in clinical practice and to detect areas for improvement in the ESGE guidelines policy.
Risk Of Tumor Seeding In Percutaneous Endoscopic Gastrostomy (PEG) In Aerodigestive Tumors; A Single Centre Experience
Authors: S. Bilal, S. Saeed, S. Amjad, N. Javed, Z. Jahangir, U. Salman, M. Z. Siddique, S. Mehmood, M. A. Yusuf
Journal: Endoscopy (2023)

Aims The pull technique of percutaneous endoscopic gastrostomy (PEG) is considered to be risk factor for PEG site metastasis, which is associated with poor outcome. We are placing PEG tubes in aerodigestive cancers since 2008 via pull method. We aim to look for the incidence of PEG site metastasis in our population and to document nutritional benefits and 30 days mortality of PEG tube in aerodigestive cancers.
Biomechanical pull-out force of fully covered self-expanding metal stents predicts stent migration in distal biliary stenoses
Authors: F. Brinkmann, K. Uhlig, A. Sambale, M. Stommel, M. Berning, J. Babatz, S. Sulk, S. Krasz, R. Schmelz, S. Brückner, J. Hampe, S. Zeissig
Journal: Endoscopy (2023)

Aims The use of fully covered self-expanding metal stents (FC-SEMS) in distal biliary stenosis is limited by migration as a frequent complication. In this study, we aimed to define predictors for stent migration based on the biomechanical stent characteristics.
The effectiveness of a very low-volume compared to high-volume laxative in colon capsule endoscopy
Authors: B. Schelde-Olesen, A. Nemeth, G. Wurm Johansson, U. Deding, T. Bjørsum-Meyer, H. Thorlacius, G. Baatrup, A. Koulaouzidis, E. Toth
Journal: Endoscopy (2023)

Aims Colon capsule endoscopy (CCE) is an alternative modality for colonic investigations. However, completion and adequate cleansing rates must be improved to meet established standards set for its conventional counterpart (optical colonoscopy). Any proposed improvements must consider patient acceptability. We aimed to compare a very low-volume polyethylene glycol (PEG) laxative to a conventional high-volume laxative preparation in CCE.
Vacuum theraphy as rescue treatment for uncontrollable sepsis after endovascular treatment of aortoesophageal fistula
Authors: A. Lira, F. Junquera, S. Machlab, L. Hernandez, J. Vives, V. Puig-Diví, E. Martinez-Bauer
Journal: Endoscopy (2023)

Abstract Text A gastroscopy in a 78 year-old with AEF, visualized an orifice in the esophageal wall. TEVAR was carried out achieving hemostasia, but an uncontrolled sepsis developed. An endoluminal vacuum therapy system was placed. It consisted of a polyurethane sponge connected to a negative pressure pump by a naso-sponge catheter. After 18 days and 3 eso-sponge replacements, a 2mm orifice was observed. The patient started oral intake and could be discharged. Three months later, gastroscopy revealed a complete closure of the fistula. Vacuum therapy is an effective therapy for the management of sepsis and wall gap of AEF.
Chronic ischemic gastroduodenitis: an unusual endoscopic finding
Authors: R. Bertè, G. Manfredi, E. Iiritano, S. Alicante, S. Romeo, C. Londoni, G. Brambilla, F. Menozzi, E. Buscarini
Journal: Endoscopy (2023)

Results A 71 years-old woman referred to our Endoscopy Unit for recurrent post-prandial epigastric pain.She was a smoker (40 packs/year) with a history of systemic hypertension and breast cancer. Since 2019, the patient had undergone several esophagogastroduodenoscopies (EGDs), which showed patchy erosions of the gastric antrum. The histological report evidenced mild gastritis (OLGA score I). A previous abdominal CT scan (without contrast medium) showed no pathological features. During the last three weeks, she has complained of worsening symptoms after an episode of suspicious gastroenteritis. We decided to repeat EGD, showing a hypoperistaltic stomach with ulcers and pale mucosa in the whole gastric antrum. The duodenum has also been involved with multiple erosions and hyperemic appearance. An abdomen CT scan with contrast medium showed a proximal abdominal aortic aneurism with total occlusion of the celiac trunk and mesenteric superior artery without radiological findings suggesting acute gastric ischemia. The patient has been treated with enteral nutrition, iv antibiotics, antiplatelet agents, high-dose statin and infusion of prostaglandins with clinical improvement. An EGD has been repeated with a demonstration of partial healing of the described ulcers and reduced palish appearance of the gastric and duodenal mucosa. The patient has been referred to Vascular Surgeon for endovascular treatment.
Effectiveness of artificial intelligence for colonoscopy on adenoma and polyp miss rate: a meta-analysis of tandem RCTs
Authors: M. Maida, G. Marasco, M. Spadaccini, A. Facciorusso, E. Sinagra, C. Hassan
Journal: Endoscopy (2023)

Aims The aim of this meta-analysis is to summarise the performance of computer-aided polyp detection (CAD) systems in reducing the miss rate of colonic lesions (Fig. [1]).
A rare case of chylomicron retention disease
Authors: I. Garrido, P. Armando, M. Guilherme
Journal: Endoscopy (2023)

Aims Case report: This is a 58-year-old man, with a past medical history of retinitis pigmentosa from childhood and a femoral neck fracture due to osteoporosis, who was referred to the consultation due to gait ataxia and sensory neuropathy with 2 years of evolution. The patient also reported steatorrhea and a weight loss of 4 Kg. Laboratory tests showed vitamin A deficiency (22 µg/dL), vitamin D deficiency (4 ng/dL), vitamin E deficiency (198 µg/dL) and hypocholesterolemia (total cholesterol 79 mg/dL, HDL cholesterol 20 mg/dL, LDL cholesterol 43 mg/dL). Stool cultures were negative as well as T. Whipplei polymerase chain reaction. The patient had an anti-transglutaminase IgA antibody <7 UI/L and normal fecal calprotectin and elastase. Upper endoscopy showed a whitish aspect of duodenal mucosa, which was biopsied. A capsule endoscopy was also performed, which revealed a white appearance throughout the small bowel mucosa, similar to "gelée blanche". The histologic evaluation demonstrates vacuolization of enterocytes in intestinal villi of normal structure [1] [2].
Endoscopic band ligation versus clipping for diverticular bleeding: a systematic review with meta-analysis
Authors: M. De Bellis, I. Lacavalla, A. Iannone, G. Losurdo, A. Di Leo
Journal: Endoscopy (2023)

Aims Bleeding from diverticula is one of the most common complications of diverticulosis and, despite it is usually a self-limiting event, it may lead to anemia or shock. We performed a meta-analysis comparing clipping versus endoscopic band ligation (EBL) for diverticular bleeding.
Osseous metaplasia in a juvenile gastric polyp
Authors: G. Axiaris, N. Perlepe, M. Lillis, N. Lazaridis, E. Frangou
Journal: Endoscopy (2023)

Aims Heterotopic bone formation is infrequently found in the gastrointestinal tract. Mesenchymal metaplasia particularly osseous metaplasia (OM) is occasionally reported in malignant tumors however is a rare finding in benign polyps. OM is more frequent in colonic polyps and rarely reported in gastric polys with only 10 cases published. OM is occasionally found in juvenile polyps either sporadically or as part of Peutz-Jeghers syndrome. The exact pathogenesis remains ill-defined and it is considered to be inflammatory driven. We present a case of OM in a juvenile gastric polyp in a 34-year-old man.
Comparison of two types of needles for endoscopic ultrasound – guided fine needle biopsy in solid pancreatic masses
Authors: K. Todovichin, P. Karagyozov, D. Todovichin, P. Dakova
Journal: Endoscopy (2023)

Aims Comparing the diagnostic accuracy of two types of 22 gauge biopsy needles for endoscopic ultrasonographic (EUS) fine-needle biopsy (FNB) and associated predictive factors in the diagnosis of pancreatic masses. We compared the performace of Franseen tip needle (FN) with a newly designed multi-blade three-prong tip needle (TPTN).
Role of endoscopic ultrasound to identify morphological features predictive of malignancy in patients undergoing surgical resection for presumed IPMN
Authors: P. Zaccari, M. Tacelli, M. C. Petrone, G. Rossi, S. Crippa, G. Belfiori, M. Falconi, C. Doglioni, G. Capurso, P. G. Arcidiacono
Journal: Endoscopy (2023)

Aims Intraductal papillary neoplasm of the pancreas (IPMN) are common in general population. IPMNs can be classified into three morphological types (Main-duct/MD, Branch-duct/BD and Mixed-type/MT) and ranging from low grade dysplasia (LGD) to invasive carcinoma (IC). Identification of high-grade dysplasia (HGD)/IC has a strong clinical value. The aim of this study is to evaluate the accuracy of endoscopic ultrasound (EUS) to predict malignancy.
Incidence of colorectal cancer and precursor lesions in asymptomatic young adults
Authors: D. Penz, E. Waldmann, M. Hackl, L. Jiricka, L. M. Rockenbauer, J. Zessner-Spitzenberg, A. Ferlitsch, M. Trauner, M. Ferlitsch
Journal: Endoscopy (2023)

Aims Determine the prevalence and trends of precursor lesions and CRC in average-risk individuals under 50.
Endoscopic papillectomy: results of a tertiary referral center experience
Authors: D. Donnarumma, L. Dioscoridi, E. Forti, G. Bonato, M. Cintolo, F. Pugliese, M. Bravo, M. Capasso, M. Mutignani
Journal: Endoscopy (2023)

Aims We reported our tertiary referral center experience to evaluate the efficacy and long-term management of patients affected by adenomas of maior or minor papilla.
Feasibility and safety of tailored lymphadenectomy using sentinel node navigated surgery with a hybrid tracer of technetium-99m and indocyanine green in high-risk T1 esophageal adenocarcinoma patients
Authors: C. N. Frederiks, A. Overwater, J. Bergman, R. Pouw, B. De Keizer, R. Bennink, L. Brosens, S. Meijer, R. Van Hillegersberg, M. Van Berge Henegouwen, J. Ruurda, S. Gisbertz, B. Weusten
Journal: Endoscopy (2023)

Aims Selective lymphadenectomy using sentinel node navigated surgery (SNNS) might offer a less invasive alternative to esophagectomy in patients with high-risk T1 esophageal adenocarcinoma (EAC). We aimed to evaluate the feasibility and safety of a new treatment strategy, consisting of radical endoscopic resection of the tumor followed by SNNS.
Predictive factors for failure of endoscopic dilatation of esophageal achalasia
Authors: S. Salim, L. Asmae, M. Lahlali, N. Lahmidani, A. Elmekkaoui, Y. M. El, S. A. Ibrahimi, M. El Abkari, D. A. Benajah, H. Abid
Journal: Endoscopy (2023)

Aims The aim of Our study was to evaluate the predictive factors that could influence the therapeutic response of achalasia patients who underwent endoscopic dilatation
Endoscopic submucosal dissection of a rectal lesion recurrence at the anastomotic site: when the staples lead the way
Authors: A. R. Franco, I. Simão, R. Mendes, A. Mascarenhas, C. O'Neill, R. Mendo, B. Pereira, P. Barreiro, C. Chagas
Journal: Endoscopy (2023)

Abstract Text We present a case of a neoplastic recurrence over an anastomosis site which was treated by endoscopic submucosal dissection. Submucosal injection showed non-lifting sign in the lesion area over the surgical anastomosis. After dissection of the submucosa without fibrosis, an extensive 2cm surgical staple line was reached. At this point, the ESD was technically challenging not only due to the presence of the staples which often hindered electric current passage, but also due to the severe associated fibrosis. During the dissection, two adjacent 2mm microperfurations were noted, which were effectively closed with two over-the-scope clips. An R0 en bloc resection of a tubular adenoma with low and high grade dysplasia was achieved [1] [2].
Cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective international cohort study
Authors: A. Aelvoet, J. G. Karstensen, B.A. J. Bastiaansen, M. Van Leerdam, F. Balaguer, M. F. Kaminski, R. Hompes, P.M. M. Bossuyt, L. Ricciardiello, A. Latchford, R. Jover, M. Daca-Alvarez, M. Pellisé, E. Dekker
Journal: Endoscopy (2023)

Aims Most patients with familial adenomatous polyposis (FAP) develop duodenal adenomas, but only 4-10% duodenal cancer. In an attempt to prevent cancer or prevent/delay duodenal surgery, endoscopic polypectomy is recommended. Adverse events (AEs) after duodenal polypectomy in the duodenum polypectomy include 2-3% perforation and 13-20% delayed bleeding, but these data are largely from hot snare polypectomy. We hypothesized that cold snare polypectomy (CSP) is a safe technique for superficial non-ampullary duodenal adenomas in FAP and reviewed our outcomes from CSP.
The Evaluation of the Esofagogastric Valve, by HILL classification , in the analysis of the RELATIVE RISK of endoscopic occurrence of hiatus hernia and/or esophagitis
Authors: C. Saul, J. C. Pereira-Lima, C. Rolim Teixeira
Journal: Endoscopy (2023)

Aims To analyze , using the Hill classification ,the frequency of occurrence of HH(hiatus hernia) and/or RE(esophagitis) in the differents types of EGVFlap, and, mainly, the relative risk (RR) of the patient to have these alterations, in according to the type of EGVFlap.
Sedation-associated Complication in Post-percutaneous coronary intervention patients during Esophagogastroduodenoscopy with Midazolam
Authors: D. Y. Lee, B. J. Kim, J. H. Kim, S. Y. Shin
Journal: Endoscopy (2023)

Aims We aimed to determine the surveillance performance of left ventricle ejection fraction (LVEF) by echocardiography to predict sedation-associated complications in endoscopy following percutaneous coronary intervention (PCI).
Needle Knife Fistulotomy Versus Partial Ampullary Endoscopic Mucosal Resection for Difficult Biliary Cannulation: a prospective randomised controlled trial
Authors: S. Tokmak, M. F. Cetin, S. Torun
Journal: Endoscopy (2023)

Aims Cannulation success with standard techniques is reported to be around 90%. Even in expert hands and despite all efforts, it can be challenging that needs an alternate intervention. Needle-knife fistulotomy (NKF) is recommended as the initial technique for pre-cutting because the rate of post-ERCP pancreatitis (PEP) is significantly low. Still, it's performed as a free-hand technique without using a guidewire which may cause complications such as perforation and bleeding. We recently described a novel technique; partial ampullary mucosal resection (PA-EMR) for difficult biliary cannulation which may overcome some of NKF's limitations. Our aim was to compare the efficacy and safety of PA-EMR vs NKF [1] [2] [3] [4].
Asymmetric Franseen type needles: a promising alternative for the EUS-guided tissue acquisition for the assessment of gastrointestinal lesions
Authors: A. Busatto, B. M. Battagli, E. Baglione, B. Perini, F. Ferrara
Journal: Endoscopy (2023)

Aims EUS-FNB tissue sampling is nowadays considered crucial for the management of pancreatic and subepithelial solid lesions (SSLs). According to the recently published data, Franseen symmetric and Fork-tip needles are considered the best-performing ones. In our center, we have newly introduced a new Franseen multiblade asymmetric three-prong tip needle (EUS-FNB Micro-Tech Trident), with a dominant prong designed to facilitate tissue penetration. In this study, we evaluate the diagnostic accuracy and sample adequacy of this new device.
Standard endoscopy at its best: removal of an eroded gastric band
Authors: C. Tocia, A. Dumitru, R. Popescu, N. Leopa, C. Olteanu, E. Dina, E. Dumitru
Journal: Endoscopy (2023)

Abstract Text Gastric band surgery is a common method of bariatric surgery. Although complications are rare, one type is intragastric band erosion. Here we present this type of complication which was successfully managed and removed endoscopically with standard endoscopy. A 48-year-old female was referred to our endoscopy unit complaining of epigastric pain, nausea and weight regain six years after gastric band placement. An upper GI endoscopy performed earlier confirmed the partially eroded band in the stomach. The video illustrates the endoscopic removal of the eroded gastric band.
Endoscopic Characterization of Henoch-Schönlein Purpura
Authors: A. Martinez-Alcalá, K. Pwalak, T. Kröner, L. Fry, K. Mönkemüller
Journal: Endoscopy (2023)

Abstract Text This educational video demonstrates the clinical and endoscopic findings of Henoch-Schönlein purpura (HSP), which is an immune complex IgA vasculitis. HSP can present in a wide range of ages, from children to adults. The main symptoms of HSP are abdominal pain, diarrhea, gastrointestinal bleeding and a purpuric rash involving the trunk and lower extremities. In children, Henoch-Schönlein purpura may also present with acute abdomen due to intususseption. The endoscopic spectrum of HSP is broad and includes mucosal edema, purple discoloration, erosions, ulcers, and frank necrosis. The colitis induced by HSP may be indistinguishable from ischemic colitis and inflammatory bowel disease
Colonoscopy demand: historical trend analysis, forecast, capacity planning and validation
Authors: M. M. Estevinho, R. Pinho, R. Veloso, T. Rodrigues, J. Correia, T. Freitas
Journal: Endoscopy (2023)

Aims Demand prediction of endoscopic procedures is critical to better plan capacity and resource allocation, improving productivity and efficiency. However, to date, no software allows extrapolating future demand from the analysis of past data. Therefore, the authors aimed to apply business analytic techniques to develop and validate a model predicting the need for colonoscopy in a Portuguese tertiary hospital.
Multidisciplinary treatment of a chronic tracheoesophageal fistula
Authors: V. Pontecorvi, R. Trisolini, C. Trani, M. Rigante, M. V. Matteo, B. Vincenzo, C. Giorgio, M. De Siena, G. Costamagna, C. Spada, I. Boskoski
Journal: Endoscopy (2023)

Abstract Text A 67 y.o. male had orotracheal intubation due to respiratory insufficiency for COVID-19. This led to the onset of a tracheoesophageal fistula, caused by the continuous overpressure of the cuff. After a multidisciplinary evaluation, surgical treatment was attempted, but was unsuccessful in closing the fistula. In the second place, endoscopic suturing with Apollo Overstitch was performed 2 times, but also was unsuccessful. In the third place, the placement of an Amplatzer atrial septal occluder to close the fistula was technically and clinically successful. At 12-months follow-up the patient eats everything and is in excellent clinical conditions
“Over-the-scope bleeding”: endoscopic management of an unexpected complication
Authors: R. Medas, R. Morais, J. Ferreira-Silva, P. Andrade, G. Macedo
Journal: Endoscopy (2023)

Abstract Text An 83-year-old male with history of iatrogenic colonic perforation in a diverticulum ostium, successfully closed with an 14/6t over-the-scope clip (OTS-clip), presented two weeks later with significant rectal bleeding. Colonoscopy was performed and the previously placed OTS-clip was identified without evidence of dehiscence. Nevertheless, an adherent clot was seen over the mucosa embedded in the OTS-clip. After clot detachment with water, oozing bleeding from a protruded vessel was identified. Bleeding was stopped after injection of diluted adrenaline and placement of four through-the-scope clips. We hypothesize that the bleeding may have originated in an eroded vessel from the diverticulum wall entrapped in OTS-clip [1] [2].